El Dorado Truecare Pharmacy
LBN: El Dorado Pharmacy Inc
El Dorado Truecare Pharmacy is an health care organization with primary practice located at 205 N Vine St , El Dorado KS 67042-2055. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
El Dorado Pharmacy Inc can be contacted via phone (316) 321-5330, or through Bellesine, Michael via phone (316) 321-5330.
Contact Information
Primary practice address
205 N Vine St
El Dorado KS 67042-2055
Phone: (316) 321-5330
Fax: (316) 321-1254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 209578 | Kansas |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1053378513 |
|---|---|
| LBN Legal business name | El Dorado Pharmacy Inc |
| DBA Doing business as | El Dorado Truecare Pharmacy |
| Authorized official | Bellesine, Michael |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Feb 20th, 2017 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053378513 | NPPES |
| Other | 2030748 | PK | |
| MEDICAID | 100444860 | PK |
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